WO1999022650A3 - Device for endoscopic delivery of surgical material - Google Patents

Device for endoscopic delivery of surgical material Download PDF

Info

Publication number
WO1999022650A3
WO1999022650A3 PCT/GB1998/003263 GB9803263W WO9922650A3 WO 1999022650 A3 WO1999022650 A3 WO 1999022650A3 GB 9803263 W GB9803263 W GB 9803263W WO 9922650 A3 WO9922650 A3 WO 9922650A3
Authority
WO
WIPO (PCT)
Prior art keywords
securing member
barrel
exit
configuration
magazine
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/GB1998/003263
Other languages
French (fr)
Other versions
WO1999022650A2 (en
Inventor
Alfred Cuschieri
Graham Timothy Frank
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
University of Dundee
Original Assignee
University of Dundee
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by University of Dundee filed Critical University of Dundee
Priority to DE69807725T priority Critical patent/DE69807725T2/en
Priority to US09/530,444 priority patent/US6699255B1/en
Priority to EP98951578A priority patent/EP1026994B1/en
Priority to AU97537/98A priority patent/AU9753798A/en
Publication of WO1999022650A2 publication Critical patent/WO1999022650A2/en
Publication of WO1999022650A3 publication Critical patent/WO1999022650A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/06085—Needles, e.g. needle tip configurations having a blunt tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Surgical Instruments (AREA)

Abstract

A device for the delivery of a shape memory securing member into a confined space, the device having an exit for the securing member and means to move the securing member through the exit, the device further including a magazine having a plurality of channels each of which can store a securing member is described. Preferably, each securing member is restrained in the device in a first configuration, and upon passing through the exit adopts a second configuration. One form of the magazine is a barrel. The barrel may be rotatable around an axis, and the channels can be disposed parallel to said axis or may lie in a helical configuration. This arrangement can be likened to a 'revolver barrel' on a firearm. One advantage of the present invention in surgery is that it can store several sutures or ligatures to allow multiple placements without the need to withdraw the instrument from the patient.
PCT/GB1998/003263 1997-10-31 1998-11-02 Device for endoscopic delivery of surgical material Ceased WO1999022650A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
DE69807725T DE69807725T2 (en) 1997-10-31 1998-11-02 DEVICE FOR ENDOSCOPICALLY INSERTING SURGICAL MATERIAL
US09/530,444 US6699255B1 (en) 1997-10-31 1998-11-02 Device for endoscopic delivery of surgical material
EP98951578A EP1026994B1 (en) 1997-10-31 1998-11-02 Device for endoscopic delivery of surgical material
AU97537/98A AU9753798A (en) 1997-10-31 1998-11-02 Device for endoscopic delivery of surgical material

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GBGB9722939.7A GB9722939D0 (en) 1997-10-31 1997-10-31 Delivery service
GB9722939.7 1997-10-31

Publications (2)

Publication Number Publication Date
WO1999022650A2 WO1999022650A2 (en) 1999-05-14
WO1999022650A3 true WO1999022650A3 (en) 1999-07-29

Family

ID=10821323

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB1998/003263 Ceased WO1999022650A2 (en) 1997-10-31 1998-11-02 Device for endoscopic delivery of surgical material

Country Status (6)

Country Link
US (1) US6699255B1 (en)
EP (1) EP1026994B1 (en)
AU (1) AU9753798A (en)
DE (1) DE69807725T2 (en)
GB (1) GB9722939D0 (en)
WO (1) WO1999022650A2 (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7220266B2 (en) 2000-05-19 2007-05-22 C. R. Bard, Inc. Tissue capturing and suturing device and method
US7399304B2 (en) 2000-03-03 2008-07-15 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
US8882785B2 (en) 2008-09-29 2014-11-11 Paul C. DiCesare Endoscopic suturing device
US8992570B2 (en) 2000-03-03 2015-03-31 C.R. Bard, Inc. Suture clips, delivery devices and methods
US9005220B2 (en) 2006-04-04 2015-04-14 C.R. Bard, Inc. Suturing devices and methods with energy emitting elements

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9920623D0 (en) * 1999-09-02 1999-11-03 Biocomposites Ltd Apparatus for applying surgical devices
US6756007B2 (en) * 2001-04-04 2004-06-29 Bard Peripheral Vascular, Inc. Method for preparing an implantable prosthesis for loading into a delivery apparatus
DE10147145C2 (en) 2001-09-25 2003-12-18 Kunz Reiner Multi-function instrument for micro-invasive surgery
DE10149421A1 (en) * 2001-10-06 2003-04-24 Fraunhofer Ges Forschung Instrument for use in minimal invasive surgery comprises a magazine for simultaneous storage of a number of tools or instruments for use in surgery and a control device that moves tools from a storage to an operating position
US8845658B2 (en) * 2007-02-26 2014-09-30 Boston Scientific Scimed, Inc. Hemostatic clip and delivery system
FR2924917B1 (en) * 2007-12-13 2011-02-11 Microval APPARATUS FOR INSTALLING SUTURE SPIERS RESULTING FROM A SHAPE MEMORY METAL WIRE.
DE202008015256U1 (en) * 2008-11-18 2009-02-12 DAUMÜLLER, Thomas Surgical instrument with transmission
DE102013106277A1 (en) 2013-06-17 2014-12-18 Aesculap Ag Surgical clip applicator
GB201315030D0 (en) 2013-08-22 2013-10-02 Knight Martin Magazine
US10849626B2 (en) * 2018-02-12 2020-12-01 Ethicon Llc Revolver loading surgical clip applier
US10765434B2 (en) 2018-02-14 2020-09-08 Ethicon Llc Biased-track revolver loading surgical clip applier
DK3823542T3 (en) 2018-07-16 2022-03-07 Ubbat Ocak SUTUR ELEMENT, SUTUR NEEDLE AND SUTUR DEVICE

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4316469A (en) * 1976-09-07 1982-02-23 Kapitanov Nikolai N Surgical apparatus for suturing soft tissues with lengths of suturing material with spicules
US4400170A (en) * 1981-09-29 1983-08-23 Syntex (U.S.A.) Inc. Implanting device and implant magazine
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
WO1992005828A1 (en) * 1990-10-09 1992-04-16 Raychem Corporation Device or apparatus for manipulating matter
US5188636A (en) * 1992-05-07 1993-02-23 Ethicon, Inc. Purse string suture instrument

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4485816A (en) * 1981-06-25 1984-12-04 Alchemia Shape-memory surgical staple apparatus and method for use in surgical suturing
US4553543A (en) * 1984-03-05 1985-11-19 Amarasinghe Disamodha C Suturing assembly and method
US5417700A (en) * 1992-03-30 1995-05-23 Thomas D. Egan Automatic suturing and ligating device
US5403326A (en) * 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5699704A (en) * 1993-02-17 1997-12-23 Habermehl; G. Lyle Exit locating collated screw strips and screwdrivers therefore
US5545171A (en) * 1994-09-22 1996-08-13 Vidamed, Inc. Anastomosis catheter
US6132438A (en) * 1995-06-07 2000-10-17 Ep Technologies, Inc. Devices for installing stasis reducing means in body tissue
US5989268A (en) * 1997-10-28 1999-11-23 Boston Scientific Corporation Endoscopic hemostatic clipping device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4316469A (en) * 1976-09-07 1982-02-23 Kapitanov Nikolai N Surgical apparatus for suturing soft tissues with lengths of suturing material with spicules
US4400170A (en) * 1981-09-29 1983-08-23 Syntex (U.S.A.) Inc. Implanting device and implant magazine
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
WO1992005828A1 (en) * 1990-10-09 1992-04-16 Raychem Corporation Device or apparatus for manipulating matter
US5188636A (en) * 1992-05-07 1993-02-23 Ethicon, Inc. Purse string suture instrument

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7399304B2 (en) 2000-03-03 2008-07-15 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
US8992570B2 (en) 2000-03-03 2015-03-31 C.R. Bard, Inc. Suture clips, delivery devices and methods
US7220266B2 (en) 2000-05-19 2007-05-22 C. R. Bard, Inc. Tissue capturing and suturing device and method
US9005220B2 (en) 2006-04-04 2015-04-14 C.R. Bard, Inc. Suturing devices and methods with energy emitting elements
US8882785B2 (en) 2008-09-29 2014-11-11 Paul C. DiCesare Endoscopic suturing device

Also Published As

Publication number Publication date
WO1999022650A2 (en) 1999-05-14
EP1026994A2 (en) 2000-08-16
DE69807725T2 (en) 2003-06-05
AU9753798A (en) 1999-05-24
EP1026994B1 (en) 2002-09-04
GB9722939D0 (en) 1998-01-07
DE69807725D1 (en) 2002-10-10
US6699255B1 (en) 2004-03-02

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